Active NPI
Joshua Matrachisia, D.O.
- Gastroenterology Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 2021-00521
- Practice address
- Medical Center Blvd
Winston Salem, NC 27157-0001 - Phone
- (336) 716-2011
- NPI assigned
- Apr 14, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 2021-00521 | NC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
Medical Center Blvd
Winston Salem, NC 27157-0001
Mailing address
1202 Medical Center Dr
Wilmington, NC 28401-7307
Phone (910) 617-6705
Other practice location 1
1202 Medical Center Dr
Wilmington, NC 28401-7307
Phone (910) 341-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540
Hospital & facility affiliations
- Columbus Regional Healthcare System
- Onslow Memorial Hospital
- Novant Health New Hanover Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 150 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 195 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilmington Health PLLC | Current | Accepting new patients | |
| Wha Medical Clinic PLLC | Current | Accepting new patients | |
| Wilmington ASC LLC | Current | Accepting new patients |
Locations
1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705
Interoperability endpoints
- joshua.matrachisia.p1@direct.wilmingtonhealth.nextgenshare.com
- joshua.matrachisia.1@14070.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Wilmington, NC
- NPI 1881632339
-
- Endoscopy Clinic/Center
- Wilmington, NC
- NPI 1083889091
-
dba Wilmington Health Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Wilmington, NC
- NPI 1548456478
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba South Columbus Medical Clinic
- General Acute Care Hospital
- Whiteville, NC
- NPI 1376537555
-
dba Novant Health New Hanover Regional Medical Center
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
-
dba Onslow Memorial Hospital
- General Acute Care Hospital
- Jacksonville, NC
- NPI 1679535496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1619363967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017307",
"telephone_number": "910-617-6705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-2011"
}
],
"practiceLocations": [
{
"address_1": "1202 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284017307",
"country_code": "US",
"telephone_number": "910-341-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATRACHISIA",
"first_name": "JOSHUA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-14",
"last_updated": "2021-07-13",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "2021-00521",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.